San Dimas Retirement Center

*** this report supersedes report dated 6/17/25 reason is to include additional information. There are no changes to the findings, which remain unsubstantiated *** Licensing Program Analyst (LPA) Tena Herrera conducted a subsequent visit to investigate the above allegations. LPA met with Karen Meacham and discussed the purpose of today's visit. The investigation consisted of the following: LPA obtained copies of staff/resident rosters, copies of R1's Discharge Summary dated 7/15/25 and R1's facesheet, LPA interviewed 4 staff (S1-S4) and 11 residents (R2-R12). R1 was not able to be interviewed as they are no longer a resident at the facility, LPA was able to interview R1's responsible party during visit via telephone call. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, October 6, 2025 · control 28-AS-20250613111812

*** this report supersedes report dated 6/17/25 reason is to include additional information. There are no changes to the findings, which remain unsubstantiated *** Licensing Program Analyst (LPA) Tena Herrera conducted a subsequent visit to investigate the above allegations. LPA met with Karen Meacham and discussed the purpose of today's visit. The investigation consisted of the following: LPA obtained copies of staff/resident rosters, toured facilities mail area and inspected mail, reviewed facilites transportation log and obtained copies of the log from May-October 2025, interviewed 4 Staff (S1-S4) and 11 residents (R2-R12), R1 was not able to interviewed as they are no longer a resident at the facility and LPA was not able to reach R1 through several phone call attempts. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, October 6, 2025 · control 28-AS-20250220160903

Licensing Program Analyst (LPA) Nicol Wesley conducted a 10 day complaint visit at the facility and met with Administrator Priscilla Gaytan and discussed the purpose for todays visit. Investigation consisted of: staff roster, resident roster, residents discharge papers, ID page, physicians reports, interviewed staff #1, and requested specific documents from resident 1 files, attempted to interview resident #1. Investigation revealed: Regarding allegation:Staff did not ensure resident was allowed to be readmitted to facility. LPA Wesley spoke to the Administrator Priscilla Gaytan and she informed me that the facility did take the resident back, They are located in the memory care unit, LPA Wesley and the Administrator walked to the memory care unit and LPA greeted the resident and asked the name. They said they are resident 1. LPA Wesley spoke to staff 1 and she said there must have been a misunderstanding, they took the resident continued on LIC 9099C UnsubstantiatedRead the full finding— CDSS inspection report, June 17, 2025 · control 28-AS-20250613111812

Licensing Program Analyst (LPA) V. Maldonado made a subsequent unannounced visit at the facility for the purpose of investigating the above-mentioned allegations. LPA Maldonado met with assistant administrator Priscilla Gaytan and explained the purpose for the visit. On 09/21/22, LPA Maldonado obtained a copy of the resident and staff roster, interviewed Residents# 1-8 (R1-R8) and staff# 1-#8 (S1-S8). During today's visit, LPA Maldonado interviewed R9-R11 and reviewed files for S1-S8 to look for the required annual training. (Report Continued on LIC9099-C...) Substantiated— CDSS inspection report, October 6, 2022 · control 28-AS-20220915160450

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced subsequent complaint investigation visit regarding the above allegation. LPA met with Priscilla Gaytan (Administrator) and explained the reason for the visit. The investigation consisted of the following: On 09/07/22, LPA Flores conducted an initial complaint investigation and requested copies of staff/resident roster and 3 months of pest control services. LPA observed activity room, lobby, and conference room. Today's visit, LPA Mora conducted a tour of 15 residents' bedrooms and common areas, and interviewed Assistant Administrator, Staff 1 - Staff 3 (S1 - S3), and Resident 1 - Resident 15 (R1 - R15). The investigation revealed the following: regarding the allegation "facility has insects", it is alleged that a resident is getting bug bites at night inside the resident's bedroom and facility has not communicated with this resident to resolve the issue. (CONITNUED TO LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, September 15, 2022 · control 28-AS-20220830095931

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation listed above. LPA arrived unannounced and met with Administrator, Cynthia Edwards. The purpose of the visit was explained. Assistant Administrator, Priscilla Gayton, assisted LPA with the visit today. The investigation consisted of the following: LPA obtain copies of the staff roster, resident roster, and service reports for the elevator for this year. LPA toured the facility and tested the 2 elevators. Interviews were conducted with the Administrator, Assistant Administrator, 7 Staff, 11 Residents, and a representative of the International Elevator Inc. (Continue on LIC9099C) SubstantiatedRead the full finding— CDSS inspection report, September 14, 2022 · control 28-AS-20220906133127

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 3/29/22. The investigation consisted of the following: Interviews were conducted with 6 staff and 11 residents. The facility was toured and resident records were reviewed. The investigation revealed the following: Allegation - Facility staff member lacks qualifications. It's alleged facility staff are not competent enough to work with the elderly population they serve. Interviews conducted with residents did not support the allegation. Staff files were reviewed that caregivers and med techs have the required training and administrator has an administrator certificate. Based on the information obtained, the allegation is unsubstantiated. Continued on 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, August 5, 2022 · control 28-AS-20220324131022

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 2/2/22. The investigation consisted of the following: Interviews were conducted with 8 residents and 4 staff. Resident #1's (R1) file was reviewed which included physician's report, psychiatric notes, conservatorship documents and medication records. The investigation revealed the following: Allegation - Facility serves resident food this is not eatable. Interviews conducted with residents revealed that the food has been better and there is more variety. Staff interviewed included management, Licensed Vocation Nurse (LVN), and caregiver. Staff indicate the food is good and reported that staff eat the food as well. The food was observed during the visit and there were no issues observed. Based on the information obtained, the allegationRead the full finding— CDSS inspection report, June 23, 2022 · control 28-AS-20220126120119

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced complaint visit to determine the validity of the above-mentioned allegation. LPA met with Administrator Priscilla Gaytan and explained the reason for the visit. The investigation consisted of the following: LPA obtained a copy of the residents and staff rosters, conducted a tour of the facility parking structure and interviewed the Administrator, Staff 1 - Staff 5 (S1 - S5) and Resident 1 - Resident 9 (R1 - R9). The investigaion revealed the following: regarding the allegation "staff did not assist resident in a timely manner.", it is alleged that an unknown resident is heard yelling for hours on end every couple of seconds and that this has been an ongoing issue for 9 months. LPA was able to identified the resident in question. (CONTINUED TO LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, May 12, 2022 · control 28-AS-20220504103458

Licensing Program Analyst (LPA) Vasallo conducted a complaint visit to investigate the allegations listed above. LPA met with administrator, Priscilla Gaytan and explained the reason for the visit. The investigation consisted of the following: Interviews were conducted with 4 staff and 3 residents. Resident #1's (R1's) records were reviewed. The facility was toured. The investigation revealed the following: Allegation - Staff retaliates against resident. It's alleged facility is retaliating against R1 for his/her behavior and as a result is attempting to evict R1. Staff interviewed deny R1 is being evicted and denied threatening R1 with eviction. R1 indicated he/she has not received an eviction notice. R1 indicated no one else heard or witnessed the threats made by staff. There were no other witnesses to the alleged incident and no eviction notice was served. Based on the information obtained, the allegation is unsubstantiated. Continued on 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, March 22, 2022 · control 28-AS-20220316142527

Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint investigation at the facility. Upon arrival, LPA met with Karen Meacham and explained the purpose of the visit. During today's visit, LPA obtained a copy of the Staff Schedule and Resident Roster. LPA interviewed Residents #2 to #11 in the library between 10:45 am to 1:00 pm, interviewed Staff #1 in the library at 1:12 pm and interviewed Staff #2 in the library at 2:03 pm. In regards to the allegation: Resident's toileting needs are not being met in a timely manner. Out of 10 Residents interviewed, 6 Residents either witnessed or was in need of toileting assistance corroborated that there were incidents of long wait times. Wait time for Staff to arrive and assist with toileting needs can be from 45 minutes to an hour. Continue to LIC9099C..... SubstantiatedRead the full finding— CDSS inspection report, March 3, 2022 · control 28-AS-20220225162408

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 12/14/21. The investigation consisted of the following: Interviews were conducted with 10 residents and 5 staff. The facility was toured which included the kitchen at the time breakfast was being served. 6 residents' medications were also reviewed. The investigation revealed the following: Regarding the food allegation, there were no details provided other than a black and white picture of food. Interviews conducted with residents revealed that the food has improved recently due to staff changes in the kitchen. Staff interviewed reported that they have also received positive feedback regarding the food recently. LPA toured the kitchen and observed breakfast being served. The kitchen was clean and had sufficient perishable and non-perishRead the full finding— CDSS inspection report, February 23, 2022 · control 28-NP-20211207083241

Licensing Program Analyst (LPA) Vasallo conducted a complaint visit to investigate the allegation listed above. LPA met with Administrator, Priscilla Gaytan and explained the reason for the visit. The investigation consisted of the following: Interviews were conducted with 10 residents and 6 staff. The facility was toured and elevator was tested. The investigation revealed the following: The facility has 2 elevators, one near the front door and another near the dining area. Interviews conducted with staff revealed that the elevator near the dining room has stopped working. Maintenance staff was told by the elevator company to reset the elevator by turning the breaker on and off and the elevator will operate again. Staff deny anyone being trapped in the elevator. Residents interviewed confirmed that staff have reset the elevator and the elevator will start working again. Residents did not know of anyone being stuck in the elevator. Interviews conducted revealed that maintenance staff arRead the full finding— CDSS inspection report, February 23, 2022 · control 28-AS-20220216090335

Licensing Program Analyst (LPA) Christine Wong conducted a subsequent complaint visit to deliver the findings. LPA met with the Marketing Coordiantor Melissa Hernandez and explained the reason of the visit and shortly after, the administrator Priscilla Gaytan arrived and assisted with the visit. The investigation consisted of the following: On 10/06/21, LPA Irra conducted an initial 10 days complaint visit and obtained documents included: Resident Roster, Staff Roster (with contact information), List of new Resident Admissions for September 2021 and October 2021 (including "move outs"). Resident Trust Fund Report dated 10/01/21, List of Resident that recently changed to a new pharmacy and Special Incident Report related to latest COVID 19 (+) case from August 2021 (including notification provided to Residents, Staff, Responsible Parties). On 10/26/21, LPA Wong conducted a follow up visit and interviewed administrator, nine staff (S1-S9) and ten residents (R1-R10). During today's visit,Read the full finding— CDSS inspection report, December 1, 2021 · control 28-AS-20210928104457

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 11/4/21. The investigation consisted of the following: During the initial visit, interviews were conducted with six staff and eight residents. The first and second floor were toured and LPA obtained the resident and staff roster and staff schedule. Eight additional residents were interviewed during the subsequent complaint visit. The investigation revealed the following: Interviews conducted with staff revealed that Staff #1 (S1) passed medication the evening of 10/25/21. S1 is a caregiver and was interviewed on 10/25/21. S1 confirmed he/she passed medication on 10/25/21 to approximately 20 residents. S1 was asked to pass medication because multiple medication room staff called off of on 10/25/21. S1 indicated he/she has not been properRead the full finding— CDSS inspection report, November 17, 2021 · control 28-AS-20211027103534

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 9/17/21. A subsequent complaint visit was conducted on 9/22/21. The investigation consisted of the following: During the initial and subsequent complaint visits, a total of twenty-two residents and fourteen staff were interviewed. The facility was toured including resident bedrooms, hallways on the first and second floor, kitchen, dining room and common areas. During today's visit two additional staff and two residents were interviewed and the medication room was inspected today. The investigation revealed the following: Allegation: Facility is short staffed. Staff interviewed included Medical Technician's (Med Techs), Licensed Vocational Nurses (LVN's), caregivers, food service staff, housekeeping and administration. Continued on 9099CRead the full finding— CDSS inspection report, September 30, 2021 · control 28-AS-20210908115240

Licensing Program Analyst (LPA) Vasallo and Mora conducted a complaint visit to investigate the allegation listed above. LPA's met with administrator, Priscilla Gaytan and explained the reason for the visit. The investigation consisted of the following: Interviews were conducted with fourteen residents and four staff. The facility was toured including resident bedrooms, hallways first and second floor, kitchen, dining room and common areas. LPA's also obtained a resident and staff roster. The investigation revealed the following: It's alleged Resident #1's (R1) air conditioning unit is not installed properly in the room. LPA's entered the room and inspected the unit. The unit appeared to be installed properly and was operating. R1 indicated he/she moved into the room recently and the room was previously vacant. R1 indicated maintenance fixed the unit a short time later by adding weather stripping around the unit. Staff interviewed denied the allegation. Staff indicated the unit was nevRead the full finding— CDSS inspection report, September 17, 2021 · control 28-AS-20210913130021

Licensing Program Analyst (LPA) Vasallo conducted a complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explain the reason for the visit. The initial complaint visit was conducted on 7/2/21. The investigation consisted of the following: LPA obtained the resident and staff roster and staff schedule. During the initial visit Interviews were conducted with 9 residents and and 2 staff. On 7/16/21, 2 additional residents and 7 additional staff were interviewed. 1 additional staff was interviewed today. Facility was toured including first floor, second floor and garden area. The investigation revealed the following: 5 out of the 11 residents interviewed indicated they have missed as needed medication or pain medication or the medication has been delivered to residents late. Residents reported waiting 1 to 2 hours sometimes to receive the medication. Residents believe the facility is short staffed because of the long response time by sRead the full finding— CDSS inspection report, July 21, 2021 · control 28-AS-20210630154541

Licensing Program Analyst (LPA) Vasallo conducted a complaint visit to investigate the allegations listed above. LPA met with Administrator, Priscilla Gaytan and explain the reason for the visit. The initial complaint visit was conducted on 6/19/21. The investigation consisted of the following: LPA obtained the resident and staff roster, shower schedule and staff schedule. During the initial visit Interviews were conducted with 5 residents and 6 staff. Facility was toured and intercom system was tested. On 7/2/21, Interviews were conducted with 9 residents and 2 staff. On 7/16/21, 2 residents and 7 staff were interviewed. 1 additional staff was interviewed today. Facility was also toured including first floor, second floor and garden area. The investigation revealed the following: It's alleged there is insufficient staffing to meet the residents needs. 12 out of the 16 residents interviewed reported that the facility is short staffed. Continued on 9099C. SubstantiatedRead the full finding— CDSS inspection report, July 21, 2021 · control 28-AS-20210611104456

Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with administrator, Priscilla Gaytan and explained the reason for the visit. The initial complaint visit was conducted on 7/2/21. The investigation consisted of the following: LPA obtained the resident and staff roster. Interviews were conducted with 11 residents and 8 staff. Facility was toured including first floor, second floor, garden area and kitchen. The investigation revealed the following: All residents interviewed indicated the food is not good. Residents described the food as too salty, tough in texture, not well cooked, and the quality of the food is bad. Residents described the drinks served as watered down. Staff interviewed included medical technicians, caregivers, supervisors, cooks, and house keeping. Staff indicated they have received many complaints about the quality of the food served. Continued on 9099C. SubstantiatedRead the full finding— CDSS inspection report, July 16, 2021 · control 28-AS-20210628091908